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HESI RN · HESI Maternity · labor and delivery nclex questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse hears the laboring patient making grunting noises. How will the nurse determine if the person is in the active second stage of labor?

A. Assess for rupture of membranes.
B. Assess for bloody show.
C. Assess for dilation of the cervix.
D. Assess for stool.

Expert Explanatory Rationale

Correct Answer: Assess for dilation of the cervix.

Question 2 of 5

How does becoming a parent cause the birthing person to feel?

A. overwhelming feelings of joy or a sense of euphoria
B. a wide variety of emotions specific to each person's experience
C. overwhelming fear or sadness at the loss of their previous life
D. exhausted with little interest the newborn

Expert Explanatory Rationale

Correct Answer: a wide variety of emotions specific to each person's experience

Question 3 of 5

An increase in urinary frequency and leg cramps after the 36th week of pregnancy are an indication of

A. lightening.
B. breech presentation.
C. urinary tract infection.
D. onset of Braxton-Hicks contractions.

Expert Explanatory Rationale

Correct Answer: lightening.

Question 4 of 5

The nurse is caring for a patient during induction of labor. The oxytocin is currently infusing at 6 mU/min. The fetal heart tracing displays a 130 baseline, moderate variability, and no accelerations or decelerations. Uterine contractions have been every 2 minutes for the last 30 minutes. What is the nurse’s next best action?

A. Reduce the oxytocin infusion to 3 mU/min
B. Delay the next scheduled oxytocin increase
C. Maintain infusion at 6 mU/min
D. Discontinue the oxytocin infusion

Expert Explanatory Rationale

Correct Answer: Maintain infusion at 6 mU/min

Question 5 of 5

The most appropriate time for the nurse to assist a laboring woman to push is:

A. During the interval between contractions.
B. During first-stage labor.
C. During second-stage labor.
D. Whenever she feels the need.

Expert Explanatory Rationale

Correct Answer: During second-stage labor.

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